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Organization

GRAMIC RESEARCH LABORATORY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE LEYKIND (PRINCIPLE)
(718) 669-8297
Entity
Organization

Contact information

Practice address
4330 SHERIDAN ST, #201B, HOLLYWOOD, FL 33021-1407
(954) 962-1511
(954) 962-9830
Mailing address
4330 SHERIDAN ST, #201B, HOLLYWOOD, FL 33021-1406
(954) 962-1511
(954) 962-9830

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800020218
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
800020218
CLIA
FL
Enumeration date
03/07/2006
Last updated
01/06/2009
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